Ambassador Application

Name

First Name

Last Name

Your Email

Your Linkedin Profile

Your Phone Number

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Where do you live?

What is your current position?

What industry do you work in?

Would you consider yourself highly networked and enjoy networking?

Can you commit to 3-5 hr/month of outreach to CEOs, senior leaders, VCs and recruiters in your network, industry and location?

What draws you to the CEOX Mission?

Do you like to work independently or do you prefer more structure and guidance?

What have been a few of your greatest work accomplishments?

What questions do you have for us?